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Employee Health Care Plan – Coordination of Medical Benefits

In the event an individual is covered under more than one health plan, the medical benefits of the health plans will be coordinated (prescription drug coverage is only coordinated between two University plans). The primary coverage is identified by using the first of the following rules which applies (the other coverage is the secondary coverage):

  • The health plan which covers the person as the policyholder.
  • For a child of parents living together, the plan of the parent whose birthday falls earlier in the calendar year.
  • For a child of parents not living together,
    • The plan of the parent with custody;
    • The plan of the spouse of the parent with custody;
    • The plan of the parent without custody; or
    • The plan of the spouse of the parent without custody.

For additional information on coordination of benefits, see the applicable Summary Plan Description or contact the Benefits Department.


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